Active NPI
Yangseon Park, M.D.
- Anesthesiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- T2946
- Practice address
- 6720 Bertner Ave Ste O-520
Houston, TX 77030-2604 - Phone
- (917) 242-2145
- NPI assigned
- Jun 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MT210086 | PA | |
| Anesthesiology Physician | 207L00000X | T2946 | TX | Primary |
| Surgery Physician | 208600000X | 0101255025 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | MD455479 | PA | |
| Surgery Physician | 208600000X | 278193 | NY |
Addresses
Primary practice location
6720 Bertner Ave Ste O-520
Houston, TX 77030-2604
Mailing address
6720 Bertner Ave Ste O-520
Houston, TX 77030-2604
Other practice location 1
1800 Lombard St Fl 2
Penn Medicine at Rittenhouse
Philadelphia, PA 19146-1414
Phone (215) 893-7700
Other practice location 2
3400 Spruce Street
Suite 680 Dulles
Philadelphia, PA 19104
Phone (267) 592-8927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1635 N Loop W
Greater Houston Anesthesiology
Houston, TX 77008-1532
Phone (713) 867-3300
7200 Cambridge St
FL 9
Houston, TX 77030-4202
Phone (713) 798-2500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT210086 | PA | MD | Anesthesiology Physician |
| 278193 | NY | MD | Surgery Physician |
| MD455479 | PA | MD | Surgery Physician |
| 0101255025 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Multi-Specialty | Current | Accepting new patients |
| U S Anesthesia Partners of Texas, PA | Multi-Specialty | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Multi-Specialty | Current | Accepting new patients |
| Baylor College of Medicine | Multi-Specialty | Current | Accepting new patients |
Locations
7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924
7200 Cambridge St
Fl 9
Houston, TX 77030
Phone (713) 798-2273
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
6720 Bertner Ave
Ste O520
Houston, TX 77030
Phone (832) 355-2202
2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835
1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066
1475 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 369-9001
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Multi-Specialty
-
- Anesthesiology Physician
- Webster, TX
- NPI 1669829750
-
- Orthopaedic Surgery Physician
- Sugar Land, TX
- NPI 1700683844
Multi-Specialty
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Multi-Specialty
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1184622847
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1760778500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6720 BERTNER AVE STE O-520",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6720 BERTNER AVE STE O-520",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302604",
"telephone_number": "917-242-2145"
}
],
"practiceLocations": [
{
"address_1": "1800 Lombard St Fl 2",
"address_2": "Penn Medicine at Rittenhouse",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191461414",
"country_code": "US",
"telephone_number": "215-893-7700",
"fax_number": "215-893-7703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Spruce Street",
"address_2": "Suite 680 Dulles",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19104",
"country_code": "US",
"telephone_number": "267-592-8927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "YANGSEON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-20",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "PA",
"license": "MT210086",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "T2946",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101255025",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD455479",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "278193",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.